5-Minute Emergency Consult
Phalangeal Injuries, Hand
Basics
Description
Description
- 1/3 of all traumatic injuries affect the hand
- Phalanges account for one of the most frequently fractured parts of the skeletal system with the distal phalanx being the most commonly fractured bone in the hand
- Dorsal displacement of the proximal interphalangeal joint of the finger is the most frequent dislocation
Pediatric Considerations
- Disability from hand injuries can have life-changing implications based on a patient's age, vocation, and hobbies
- Injuries may be more difficult to diagnose in children who are unable to cooperate for a full exam
Etiology
Etiology
- Trauma (commonly work or sports related)
- Infectious sequelae:
- Skin flora: Staphylococcus aureus and Streptococci
- Cat/dog bites: S. aureus and Pasteurella multocida
- Human bites: Eikenella
- Thorns or woody plants puncture: Fungal
- Fresh-/salt-water exposure: Mycobacterium marinum and Pseudomonas aeruginosa
- Inflammatory (e.g., gout, RA, osteoarthritis)
- Overuse injury (e.g., “gamekeeper's thumb”)
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Citation
Schaider, Jeffrey J., et al., editors. "Phalangeal Injuries, Hand." 5-Minute Emergency Consult, 5th ed., Lippincott Williams & Wilkins, 2016. Emergency Central, emergency.unboundmedicine.com/emergency/view/5-Minute_Emergency_Consult/307145/all/Phalangeal_Injuries__Hand.
Phalangeal Injuries, Hand. In: Schaider JJJ, Barkin RMR, Hayden SRS, et al, eds. 5-Minute Emergency Consult. Lippincott Williams & Wilkins; 2016. https://emergency.unboundmedicine.com/emergency/view/5-Minute_Emergency_Consult/307145/all/Phalangeal_Injuries__Hand. Accessed December 2, 2023.
Phalangeal Injuries, Hand. (2016). In Schaider, J. J., Barkin, R. M., Hayden, S. R., Wolfe, R. E., Barkin, A. Z., Shayne, P., & Rosen, P. (Eds.), 5-Minute Emergency Consult (5th ed.). Lippincott Williams & Wilkins. https://emergency.unboundmedicine.com/emergency/view/5-Minute_Emergency_Consult/307145/all/Phalangeal_Injuries__Hand
Phalangeal Injuries, Hand [Internet]. In: Schaider JJJ, Barkin RMR, Hayden SRS, Wolfe RER, Barkin AZA, Shayne PP, Rosen PP, editors. 5-Minute Emergency Consult. Lippincott Williams & Wilkins; 2016. [cited 2023 December 02]. Available from: https://emergency.unboundmedicine.com/emergency/view/5-Minute_Emergency_Consult/307145/all/Phalangeal_Injuries__Hand.
* Article titles in AMA citation format should be in sentence-case
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T1 - Phalangeal Injuries, Hand
ID - 307145
ED - Barkin,Adam Z,
ED - Shayne,Philip,
ED - Rosen,Peter,
ED - Schaider,Jeffrey J,
ED - Barkin,Roger M,
ED - Hayden,Stephen R,
ED - Wolfe,Richard E,
BT - 5-Minute Emergency Consult
UR - https://emergency.unboundmedicine.com/emergency/view/5-Minute_Emergency_Consult/307145/all/Phalangeal_Injuries__Hand
PB - Lippincott Williams & Wilkins
ET - 5
DB - Emergency Central
DP - Unbound Medicine
ER -
